Department of Radiology, Mayo Clinic, Rochester, MN 55905, United States.
Department of Radiology, Mayo Clinic, Rochester, MN 55905, United States.
Phys Med. 2020 Mar;71:100-107. doi: 10.1016/j.ejmp.2020.02.013. Epub 2020 Feb 27.
MRI-guided microwave ablation (MWA) is a minimally invasive treatment for localized cancer. MR thermometry has been shown to be able to provide vital information for monitoring the procedure in real-time. However, MRI during active MWA can suffer from image quality degradation due to intermittent electromagnetic interference (EMI). A novel approach to correct for EMI-contaminated images is presented here to improve MR thermometry during clinical hepatic MWA. The method was applied to MR-thermometry images acquired during four MR-guided hepatic MWA treatments using a commercially available MRI-configured microwave generator system. During the treatments MR thermometry data acquisition was synchronized to respiratory cycle to minimize the impact of motion. EMI was detected and corrected using uncontaminated k-space data from nearby frames in k-space. Substantially improved temperature and thermal damage maps have been obtained and the treatment zone can be better visualized. Our ex vivo tissue sample study shows the correction introduced minimal errors to the temperature maps and thermal damage maps.
MRI 引导下微波消融(MWA)是一种针对局部癌症的微创治疗方法。磁共振测温已被证明能够实时提供监测过程的重要信息。然而,在主动 MWA 期间,由于间歇性电磁干扰(EMI),MRI 可能会受到图像质量下降的影响。本文提出了一种新的方法来校正受 EMI 污染的图像,以提高临床肝 MWA 期间的磁共振测温。该方法应用于使用商业上可用的 MRI 配置微波发生器系统进行的四次 MR 引导肝 MWA 治疗中的 MR 测温图像。在治疗过程中,MR 测温数据采集与呼吸周期同步,以最大程度地减少运动的影响。通过从 k 空间中附近帧的未污染 k 空间数据检测和校正 EMI。已经获得了大大改进的温度和热损伤图,并且可以更好地可视化治疗区域。我们的离体组织样本研究表明,校正对温度图和热损伤图的引入误差最小。